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Magnetic resonance imaging (MRI) may one day provide a
complete picture of coronary artery disease during a single
non-invasive examination. However, cardiac and respiratory
motion during the image acquisition procedure can lead to
artifacts which degrade image quality. Improvements in image
resolution and quality, and a reduction in imaging time are
required for MR coronary imaging to become clinically
useful.
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Post-mortem 3D MRI of a human heart showing
excellent coronary delineation in the absence of motion.
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One way to reduce imaging times is to use motion correction
during an MR exam. However, before implementing these
techniques, we must first have a thorough understanding of how
the coronary arteries move - during a cardiac contraction,
and during a normal breathing cycle.
I spent most of 2001 at
INRIA in Sophia Antipolis, working
with the Chir medical robotics
group. Together, we developed methods for reconstructing the 3D
structure and motion of coronary arteries from biplane x-ray
angiograms.
(SPIE 2002,
TMI 2003)
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A sample X-ray coronary angiogram.
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I returned to the NIH to finish my PhD in the
lab of Dr. Elliot McVeigh. Together with Dr. Jon Resar, we
acquired angiogram movies from patients at Johns Hopkins. I
reconstructed the motion of the heart, and developed a
method for separating the cardiac and respiratory motion
fields from one another
(TMI 2004,
SPIE 2004).
After much analysis, the result was
a PhD thesis entitled: "Respiratory motion of the heart:
Implications for Magnetic Resonance Coronary Angiography."
(
SCMR 2004,
ISMRM 2004,
MEDPHYS 2005,
ISMRM 2005,
TMI 2006)
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3D model of the coronary arteries reconstructed from
two x-ray projections.
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